title: Annual Review Clinic improves care in children with cystic fibrosis.
abstract: BACKGROUND
  It is unclear whether annual multidisciplinary reviews in cystic fibrosis (CF) patients should be conducted in dedicated annual review (AR) clinics or during continuous assessments throughout the year. Our aim was to assess the effect of introducing an AR clinic.
  
  
  METHODS
  A retrospective written and electronic record review of CF patients was carried out for 2007 (no AR Clinic) and 2010 (established AR Clinic) calendar years. An internet-based satisfaction survey was distributed to families attending the AR clinic.
  
  
  RESULTS
  In total, 123 children (mean age 9.5 years, range 1.32-18.8 years) and 141 children (8.3 years, 1.1-18.3 years) were included in 2007 and 2010 respectively. There was a significant increase in multidisciplinary reviews (documented annual review 28% vs 85%, P < 0.001; dietary assessment 46% vs 92%, P < 0.001) and investigations (OGTT 2% vs 74%, P < 0.001; abdominal ultrasound 35% vs 85%, P < 0.001) conducted after the introduction of AR clinic. The majority of the families surveyed (85%) were satisfied or very satisfied with the AR clinic.
  
  
  CONCLUSIONS
  CF AR clinic significantly improves the number of annual investigations and multidisciplinary reviews performed. Families were satisfied with this new process.
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick 2031, Australia. Electronic address: Sandra.chuang@sesiahs.health.nsw.gov.au.
authors.forename: Sandra
authors.initials: S
authors.lastname: Chuang
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Doumit
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia.
authors.forename: Rebecca
authors.initials: R
authors.lastname: McDonald
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia.
authors.forename: Erika
authors.initials: E
authors.lastname: Hennessy
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia.
authors.forename: Tamarah
authors.initials: T
authors.lastname: Katz
authors.affiliation: Department of Respiratory Medicine, Sydney Children's Hospital, Randwick 2031, Australia; School of Women's and Children's Health, University of New South Wales, Randwick 2031, Australia.
authors.forename: Adam
authors.initials: A
authors.lastname: Jaffe
mesh_terms: D000553:Ambulatory Care / Q000379:methods / Q000458:organization & administration; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001315:Australia / Q000453:epidemiology; D002648:Child; D003258:Consumer Behavior; D003550:Cystic Fibrosis / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003695:Delivery of Health Care / Q000592:standards; D019468:Disease Management; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D010507:Periodicity; D017064:Process Assessment, Health Care; D058996:Quality Improvement; D012189:Retrospective Studies
keywords: Chronic disease management; Cystic fibrosis; Delivery of care; Parental satisfaction; Quality improvement